Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ebenezer Khuram Qureshi, PA-C

Individual provider Physician Assistant · NPI 1013947381

Ebenezer Khuram Qureshi, PA-C is a Physician Assistant in Goodyear, Arizona. Qualified in 2005, 21 years ago. Practices with Honorhealth Urgent Care LLC, a 103-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Arizona and California.

Years since qualifying
21
Licensed in
AZ, CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1507 N Litchfield Rd Ste 200
Goodyear, AZ 85395-1201
Phone: (623) 215-0040
Fax: (623) 935-9602
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 21753 N 77th Ave, Peoria, AZ 85382-2110 — (623) 935-9600
  • 15351 W Bell Rd, Surprise, AZ 85374-4580 — (877) 809-5092
  • 15351 W Bell Rd, Surprise, AZ 85374-4580 — (877) 809-5092

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 3253 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence 58215 (CA)

Record details

NPI number1013947381
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 3, 2006
Last updated in NPPESJuly 1, 2022
Certification dateJuly 1, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Honorhealth Urgent Care Llc — 103 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Goodyear